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1215664982
FREDERICK LEWIS
MARRERO, LA
NPI
1215664982
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172A00000X Driver
(Licence: LA 009388415)
Enumeration Date
2022-08-03
Last Update Date
2022-08-03
Business Address
FREDERICK LEWIS
7407 CLAREMONT DR
MARRERO, LA 70072-1141
Phone number: 504-505-4055
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Mailing Address
FREDERICK LEWIS
7407 CLAREMONT DR
MARRERO, LA 70072-1141
Phone number: 504-505-4055
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